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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received gl . , cot V <br /> Phone Contact for Permitting <br /> rT-rrl-lam-r /I <br /> )wner's Name Rul ke. t10 ni L 1Cv iA )Cori L (� Owner Phone Number I — l4� <br /> 7wner's Address 2l1�2 S' Fa ll�nbur� .{/ t�(e�IiiP.� L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address !A <br /> JOB ADDRESS s 4�`ve f7/l/ ("L LOT# <br /> SUBDIVISION DW�S Jv PARCEL ID# -A/-D/o'j0 G�DDDD l� 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR 8 ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME L� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE �67� HEIGHT _6 <br /> =BUILDING $ ' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is 6Q, <br /> a- AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> ]MECHANICAL $ `/�:/� VALUATION OF MECHANICAL INSTALLATION (D <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ulaz#VMC ed"Palk(l <br /> L1-L <br /> SIGNATURE , REGISTERED Y/ N FEE CURREN/- Y/N_ <br /> Address �0�8tS% �r �lxlJ llUe� /?o �3 ` License# FJaa(/Y &t5r <br /> ELECTRICIAN COMPANY �J i!� <br /> SIGNATURE REGISTERED Y/ NJ FEE CURREN <br /> �p <br /> Address L I !� Va, � i ` License# G EN6 3 3 7 <br /> PLUMBER COMPANY �`' ' 1 b6 <br /> SIGNATURE / ,I ,/REGISTERED Y/ N FEE CURREN <br /> 3�P1, Y/N <br /> Address 313�r°� �rru ,F1_-3 78� License# C Cl RTa7-7 <br /> MECHANICAL COMPANY lGY7�S /�� �-'�`�� /•r! <br /> SIGNATURE I J REGISTERED Y/ N FEE CURREN Y/N <br /> R/3 ner1TM'QV'-' RSZa1,FL 3 t�Lv7 License# <br /> Address - / <br /> OTHER COMPANY EMI I " CA� ��SIGNATURE p, REGISTERED FEE CURREN Y/N <br /> Address 11g31 AfV/n D� � �? i a,3 License# 1 6d613.?4-59 -7 <br /> i11111111111li11l1111111111i1111111111111111111l1111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ e ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ _■—■ ■ ■ ■ . ■ e ■ ■ ■ ■ ■ • ■ ■ ■ <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> *" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />